Early diagnosis programme
'I was diagnosed early' is one of Macmillan's nine outcomes. Our outcomes are things that we'd like everyone diagnosed with cancer to be able to say by 2030.
The early diagnosis programme includes a number of new projects to help promote awareness of the benefits of earlier recognition, referral and diagnosis of cancer. We're also developing tools to help GPs and primary care professionals.
Cancer decision support tools
In 2013 Macmillan worked collaboratively with BMJ Informatica to develop and pilot an electronic Cancer Decision Support Tool (eCDS).
GP practices across fifteen cancer networks were recruited to test the cancer decision support tool which helps GPs recognise the symptoms of five cancer types including hard to detect cancers such as ovarian and pancreatic cancer.
Following the successful 9 month pilot, we are now delighted to be able to offer the software, free of charge to all GPs in the UK. This updated version incorporates some of the feedback that we gathered through the pilot evaluation as well as a brand new symptom checker for melanoma. To register interest in getting the tool installed; to sign up for training sessions or for more information on the eCDS project in general, please email us at firstname.lastname@example.org
FAQs [PDF] and Summary eCDS [PDF].
Cancer decision support tools - training resources
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To help support you in this project we have developed a series of training resources and videos.
Professor Willie Hamilton talks about the Risk Assessment Tool (RAT.)
Background research papers
Prof. Willie Hamilton:
Professor Julia Hippisley Cox answers some FAQs about QCancer.
Prof. Julia Hippisley Cox:
Thanks to Media Trust for their help with making these videos.
We are well aware that different people work in different ways. Over the course of a year the average GP will only see around eight people with a cancer diagnosis, despite seeing many more who have symptoms which might be cancer. This project looks at the different referral styles of GPs and identifies and matches up targeted tools and interventions that best suit their style of referring.
This project is an exciting opportunity for GP practices to work with Macmillan on a project which could have a big positive impact on cancer diagnosis and referral across the UK. We are currently working with GPs in Bedfordshire and Luton to develop our framework.
Find out more about the project [PDF.]
GP Rapid Referral Guidelines
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Download your Rapid Referral guidelines here.
The Rapid Referral Toolkit contains the NICE referral guidelines for suspected cancer. It aims to provide support, guidance and practical solutions to those involved in the improvement of cancer care.
You can use the tool to assist you in identifying symptoms of cancer, it also provides you with immediate access to NICE referral guidance. The desktop tool has the option for users to add contact information for local services so that you can signpost patients to local services where appropriate.
The tool is available to download to sit right on your PC desktop making it easily accessible whenever you need it. We are also in the process of converting the guidelines into a more readable format for all smart phones so it can be accessed whilst away from the surgery/Practice.
Significant Event Audit (SEA)
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The Royal College of General Practitioners (RCGP) is piloting a project to offer GPs peer review of completed cancer SEAs with certification for their appraisal or revalidation portfolios. Initially GPs in 13 cancer networks are invited to take part. The National Cancer Action Team and Macmillan are supporting this work.
Find out more about the project.
If you have any questions about the early diagnosis programme please contact Stephanie Peart by emailing email@example.com